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Incidental minute intradermal nevus noted on pathology report
Melanoma & Skin Cancer | Last Active: May 16 4:59am | Replies (3)Comment receiving replies
@tillymack
It seems you had a successful complete excision based on the notes. They found an incidental small intradermal Nevis which is a flesh colored benign mole. It seems this was removed with the excision. I have one that my dermatologist notes every year during my skin scan and is nothing really to be concerned about. They didn’t recommend removing mine. I also have a family history of skin cancers and had several suspicious moles removed/excised.
1. https://www.healthline.com/health/intradermal-nevus
2. https://www.clinikally.com/blogs/news/intradermal-nevus-unveiled-a-closer-look-at-this-common-skin-lesion
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Thanks for your reply! Since posting my question I found the following online. Basically, I would like to confirm that the entire intradermal nevus was completely removed and potential malignant transformation if not.
A second surgery to excise a minute incidental intradermal nevus (a small, benign mole) is generally considered unnecessary if the first surgery was successful and the mole was completely removed. However, there might be a few reasons why a second procedure could be considered:
1. Incomplete Removal: If the first surgery didn't completely remove the nevus, leaving some remnants, a second procedure might be needed to ensure complete removal and prevent recurrence.
2. Recurrence: In rare cases, a nevus might return after removal, indicating incomplete excision during the first surgery.
3. Unclear Histopathology: If the initial biopsy or surgical margins weren't adequately assessed, a second procedure might be performed to obtain more tissue for a definitive diagnosis.
4. Cosmetic Concerns: If the patient is concerned about the scar or appearance of the first surgical site, a second procedure might be considered to address those concerns.
5. Malignant Transformation: While rare, there's a possibility of an intradermal nevus undergoing malignant transformation (e.g., melanoma). If a mole changes in size, shape, or color, or exhibits other concerning features, a second surgery or biopsy might be needed for evaluation.
Important Considerations:
Complete Removal:
The primary goal of nevus removal is to ensure complete excision to prevent recurrence and minimize the risk of malignant transformation.
Histopathological Evaluation:
It's crucial to have the excised nevus tissue examined by a pathologist to confirm its benign nature and rule out any signs of malignancy.
Scarring:
Surgery can leave a scar, and the size and appearance of the scar may vary depending on the surgical technique and individual healing factors.
Cosmetic Outcomes:
Cosmetic concerns should be discussed with the surgeon to determine the best course of action, which may include a second procedure or other treatment options.
In summary, a second surgery for a minute incidental intradermal nevus is usually not necessary, but it can be considered in specific situations, such as incomplete removal, recurrence, unclear histopathology, cosmetic concerns, or potential malignant transformation.